This document provides an updated summary of recommendations for the use of electrophysiological studies across 17 cardiac pathologies, filling a gap since the 1995 guidelines.
Reaffirms electrophysiological studies in arrhythmia care; extends 1995 guidelines with updated recommendations across 17 pathologies.
The field of cardiac electrophysiology has greatly developed during the past decades. Consequently, the use of electrophysiological studies (EPSs) in clinical practice has also significantly augmented, with a progressively increasing number of certified electrophysiology centers and specialists. Since Zipes et al published the Guidelines for Clinical Intracardiac Electrophysiology and Catheter Ablation Procedures in 1995, no official document summarizing current EPS indications has been published. The current paper focuses on summarizing all relevant data of the role of EPS in patients with different types of cardiac pathologies and provides up-to-date recommendations on this topic. For this purpose, the PubMed database was screened for relevant articles in English up to December 2018 and ESC and ACC/AHA Clinical Practice Guidelines, and EHRA/HRS/APHRS position statements related to the current topic were analyzed. Current recommendations for the use of EPS in clinical practice are discussed and presented in 17 distinct cardiac pathologies. A short rationale, evidence, and indications are provided for each cardiac disease/group of diseases. In conclusion, because of its capability to establish a diagnosis in patients with a variety of cardiac pathologies, the EPS remains a useful tool in the evaluation of patients with cardiac arrhythmias and conduction disorders and is capable of establishing indications for cardiac device implantation and guide catheter ablation procedures.
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Mureşan et al. (2018) conducted a review in Cardiac arrhythmias and conduction disorders. Electrophysiological studies (EPS) was evaluated. Electrophysiological studies remain a useful tool in evaluating patients with cardiac arrhythmias and conduction disorders, establishing indications for device implantation, and guiding ablation.
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